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Results based on filters ( 5142 jobs found )

Appeals and Grievances Non-Clinical Specialist (High Volume)

Healthfirst
Florida
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The Appeals and Grievances unit manages Healthfirst member complaints, ...
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Summary
About the job:
grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration with divisions within and outside the organization to resolve issues in a timely and compliant manner. The Appeals and Grievances Specialist is the subject matter expert responsible for non-clinical case development and case resolution while ensuring compliance with Federal and/or State regulations. The Appeals and Grievances Specialist will...
Location:
Florida
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Healthfirst
Certifications / Licenses:
Compliance Certification Management System
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Appeals and Grievances Non-Clinical Specialist (High Volume)

Healthfirst
New York
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The Appeals and Grievances unit manages Healthfirst member complaints, ...
Details
Summary
About the job:
grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration with divisions within and outside the organization to resolve issues in a timely and compliant manner. The Appeals and Grievances Specialist is the subject matter expert responsible for non-clinical case development and case resolution while ensuring compliance with Federal and/or State regulations. The Appeals and Grievances Specialist will...
Location:
New York
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Healthfirst
Certifications / Licenses:
Compliance Certification Management System
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Insurance Associate

Marsh
San Diego, CA
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JOB DESCRIPTION Provide support for Client Administrators and Client ...
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Summary
About the job:
Managers in servicing all lines of Business Insurance in accordance with departmental objectives and procedures. Essential Duties & Responsibilities - Assist Client Administrators and Managers in providing service to accounts as additional experience, knowledge and familiarity with processes and procedures of file maintenance and day-to-day tasks is achieved. - Mail: - Process New Mail - Mail monthly installment invoices to clients - Policies: - Prepare policy for policy checking by: - Confirming all necessary documents are...
Location:
San Diego, CA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Marsh
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Business Insurance Client Service Representative

Marsh
Orland Park, IL
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JOB DESCRIPTION Client Service Representative Our not-so-secret sauce. ...
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Summary
About the job:
Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. More than 11,000 of the industry’s brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Client Service Representative at Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and...
Location:
Orland Park, IL
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Marsh
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Client Service Specialist

Marsh
Orlando, FL
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JOB DESCRIPTION Our not-so-secret sauce. Award-winning, inclusive, Top ...
Details
Summary
About the job:
Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. More than 11,000 of the industry’s brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Client Service Specialist at McGriff , a division of Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals...
Location:
Orlando, FL
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Marsh
Certifications / Licenses:
State insurance license
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Representative

Richmond American Homes of Colorado, Inc
Denver, CO
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BREAK GROUND ON A REWARDING CAREER WITH US! At MDC Holdings, Inc./Richmond ...
Details
Summary
About the job:
American Homes, we encourage a company culture that promotes professionalism, teamwork, health & wellness and work-life balance. If you are a results-driven professional with a passion for success, consider building a career with us. We’re proud to be one of the most established homebuilders in the industry, with over 45 years of experience and 250,000+ homes to our credit. We also take great pride in being a member of Sekisui House, a global leader in homebuilding. This impressive, 60+ year old company has built over...
Location:
Denver, CO
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Richmond American Homes of Colorado, Inc
Certifications / Licenses:
Occupational Safety & Health Administration Certification
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Analyst

Acrisure LLC
Springfield, IL
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Job Senior Claims Analyst Department: Claims About Acrisure A global fintech ...
Details
Summary
About the job:
leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions. Bringing cutting-edge technology and top-tier human support together, it connects clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services and more. In the last eleven years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in 21 countries. Our culture is defined by our entrepreneurial spirit...
Location:
Springfield, IL
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Acrisure LLC
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Claim Examiner I

AmTrust Financial Services, Inc.
Princeton, NJ
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The Lead Claims Examiner is responsible for prompt and efficient ...
Details
Summary
About the job:
investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. Maintains a solid understanding of AmTrust’s mission, vision, and values. Upholds the standards of AmTrust and the Claims organization. Follows AmTrust policies and procedures in managing claims. Investigates the claim and coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured,...
Location:
Princeton, NJ
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
AmTrust Financial Services, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Commercial Trucking Claims

AmTrust Financial Services, Inc.
Located in Ohio
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AmTrust Financial Services, a fast-growing commercial insurance company, is ...
Details
Summary
About the job:
currently seeking a Claims Director in Complex Commercial Trucking Liability. This position requires previous supervisory experience. The successful candidate will supervise a team of claims professional handling Commercial Trucking bodily injury claims, including coaching and technical development of their direct reports on coverage, liability investigation, evaluation of damages, settlement strategy, and litigation management. These claims arise in various jurisdictions throughout the country and, as such,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
AmTrust Financial Services, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Complex Cyber Claim Specialist

AmTrust Financial Services, Inc.
Located in Ohio
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We are a growing and flourishing Cyber/Tech Team with offices around the ...
Details
Summary
About the job:
country. In this role, you will be the AmTrust Cyber Claims Team Lead responsible for: overseeing a group of first- and third-party cyber claims adjusters; managing relationships with outside counsel and vendors; and providing timely and meaning claim trend information to underwriters and actuaries. Our portfolio of business includes both admitted and surplus accounts and primary and excess accounts across a diverse range of industries and insureds that are SMEs through Fortune 500 companies. This position helps maintain...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
AmTrust Financial Services, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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